Bulletin

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OMHA Announces Pilot Programs to Address Administrative Law Judge Appeals Backlog

July 08, 2014

In an apparent attempt to address the significant backlog of Medicare administrative appeals at the Administrative Law Judge (ALJ) level, the Department of Health & Human Services (HHS) Office of Medicare Hearings and Appeals (OMHA) recently posted information about two pilot programs that providers with Medicare appeals pending before an ALJ may use to resolve claims. Learn More

CMS Releases Three Proposed Rules for CY 2015: Hospital Outpatient/ASC Payment System, Physician...

July 07, 2014

The Centers for Medicare & Medicaid Services (CMS) on July 3 released two proposed rules for calendar year (CY) 2015 - the outpatient prospective payment system (PPS)/ambulatory surgical center (ASC) rule and the physician fee schedule (PFS) rule. In addition, on July 2, CMS issued the End-Stage Renal Disease System (ESRD) PPS rule, which includes proposals affecting durable medical equipment (DME). Highlights of the three proposed rules follow. Learn More

CMS Implements Extension of Payment Adjustment for Low-Volume and Medicare-Dependent Hospital...

June 25, 2014

CMS Implements Extension of Payment Adjustment for Low-Volume and Medicare-Dependent Hospital Programs for Second Half of FY 2014: On Tuesday, June 17, CMS announced in the Federal Register changes implementing the extension of both the low-volume payment adjustment and the Medicare-dependent Hospital (MDH) program for the second half of fiscal year (FY) 2014, as required by the Protecting Access to Medicare Act of 2014 (PAMA). Learn More

CMS Reforms Burdensome Medicare Regulations

May 08, 2014

Late May 7, the Centers for Medicare & Medicaid Services (CMS) issued a final rule to revise and clarify certain Conditions of Participation (CoPs) and Conditions for Coverage (CfCs) for hospitals, critical access hospitals (CAHs) and other providers. Learn More

CMS Releases FY 2015 Proposed Rules for Three Post-Acute Care Settings

May 02, 2014

CMS Releases FY 2015 Proposed Rules for SNFs, IRFs and LTCHs Learn More

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